Individual
DR. RYAN PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
330 S GARDEN WAY STE 350, EUGENE, OR 97401-8179
(541) 746-6816
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
(702) 838-1456
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
RPH-0014161
OR
Other
Enumeration date
11/28/2017
Last updated
10/21/2025
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